<!DOCTYPE html>
<html>
	<head>
		<meta http-equiv="Content-Type" content="text/html; charset=UTF-8">

		<title>填写客户信息</title>
		<meta name="viewport" content="width=device-width,initial-scale=1,minimum-scale=1,maximum-scale=1">
		<meta name="Keywords" content="">
		<meta name="Description" content="">
		<link rel="stylesheet" href="css/creditcard.css">
	</head>

<body class="nofixed">
    
	<!--顶部-->
	<header>
		<div class="logo">
			<a href="#"><img src="images/logo.png" alt=""></a>
		</div>
		<div class="area"></div>
		<div class="title">填写信息</div>
		<div class="user"></div>
	</header>
	<!--end顶部-->
	
	<div class="back_wihte">
		<div class="apply-step-nav">
			<div class="nav-bar" id="step_one"><img src="images/nav-top-step-1.png"></div>
			<div class="nav-bar-title">
				<ul class="nav-bar-step-1">
					<li class="active">填写基本信息</li>
					<li>提交申请</li>
				</ul>	
			</div>	
		</div>
	
		<div class="applicant-total-title backg">
			<div class="applicant-total-title-subdiv chColor">
				<img src="images/touxiang.png">
				个人信息 
				<span class="applicant-infomation-mark chColor" style="font-size: 0.5em;">为提高审核通过率，请准确填写各项内容。</span>
			</div>
		</div>
		
	  	<div class="tijiao">
	  		<table>
	
	  			<tr>
	  				<td><span class="applicant-infomation-mark">*</span>姓名</td>
	  				<td><input name="field_control_xmname" value="请输入真实姓名" type ="text" id="field_control_xmname" errormsg="请填写姓名信息！" nullmsg="请填写姓名信息！" datatype="*"></td>
	  			</tr>
	  			
	  			<tr>
	  				<td><span class="applicant-infomation-mark">*</span>性别</td>
	  				<td>
	  					<span id="field_control_sex">
	  						<input id="field_control_sex_0" type="radio"checked="checked"name ="field_control_sex" value="男">
	  						<label for="field_control_sex_0">男</label>
	  						<input id="field_control_sex_1" type="radio"name ="field_control_sex" value="女">
	  						<label for="field_control_sex_1">女</label>
	  					</span>
	  				</td>
	  			</tr>
	  			
	  			<tr>
	  				<td><span class="applicant-infomation-mark">*</span>电话</td>
	  				<td>
	  					<input name="field_control_dianhua" value="请输入电话号码" type ="text" id="field_control_dianhua" errormsg="请填写电话号码信息！" nullmsg="请填写电话号码信息！" datatype="m">
	  				</td>
	  			</tr>
	  			
	  			<tr>
	  				<td><span class="applicant-infomation-mark">*</span>身份证号</td>
	  				<td>
	  					<input name="field_control_sfzh" type ="text"id="field_control_sfzh" class="input normal" value="请输入身份证号码" >
	  				</td>
	  			</tr>
	  			<tr>
	  				<td><span class="applicant-infomation-mark">*</span>出生日期</td>
	  				<td>
	  					<input name="field_control_cstime" type="text" value="请输入出生年月日" id="field_control_cstime" onfocus="WdatePicker({ dateFmt: 'yyyy-MM-dd HH:mm:ss'})">
	  				</td>
	  			</tr>
	  			
	  			<tr>
	  				<td><span class="applicant-infomation-mark">*</span>申请金额</td>
	  				<td>
	  					<input name="field_control_sqed" value="请输入金额（元）" type ="text"id="field_control_sqed" errormsg="请填写申请金额信息！" nullmsg="请填写申请金额信息！" datatype="*">
	  				</td>
	  			</tr>
	  			
	  			<tr>
	  				<td><span class="applicant-infomation-mark">*</span>住址</td>
	  				<td>
	  					<input name="field_control_zhuzhi" value="请输入所在地详细地址" type ="text"id="field_control_zhuzhi" errormsg="请填写住房地址信息！" nullmsg="请填写住房地址信息！" datatype="*">
	  				</td>
	  			</tr>
	  			
	  			<tr style="display: none;">
	  				<td>来源</td>
	  				<td>
	  					<input name="field_control_laiyuan" type ="text"id="field_control_laiyuan" class="input normal" value="代理商001号" >
	  				</td>
	  			</tr>
	  			
	  			
	  		</table>
	  	</div>
			    
	
		<div class="footer_ret">
			<a href="#">提交申请</a>
		</div>
	</div>

</body>
</html>